| NPI | 1407383581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 46469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-0043) |
| 207R00000X Internal Medicine (Licence: NC 2020-00043) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2020-0043) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2024-06-15 |